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Sale Licences (to be applied online only)

DOCUMENTS TO BE SUBMITTED TO THE ASSISTANT DIRECTOR AND DISTRICT LICENSING AUTHORITY, DRUGS CONTROL ADMINISTRATION BY THE APPLICANT

FOR GRANT OF SALE LICENCES

(Change of Premises, Change of Constitution, Change of pharmacist) ALL IN DUPLICATE

20,21(RETAIL), 20B, 21B (WHOLESALE); 20A, 21A (HOUSE HOLD REMEDIES)

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CHECK LISTS

CHECK LIST FOR GRANT / CHANGE OF PREMISES OF RETAIL LICENCE FROM-20, 21 (RETAIL)

 

1.         Statutory form – 19 for licenses in form (20,21).

 

2.         S.B.H. Challan of Rs.1500/- for each license (for each form) for the required amount under the Head of Account 0210-Medical and Public Health, 04-Public Health, 104-Fees, Fines etc. / net banking.

 

3.         Declaration by the proprietor / Partner / Director / Competent Persons / Regd. Pharmacist with proof of residential address (Present and Permanent) for proof of residential address – Aadhar Card, Ration Card, Pass Port, Driving License, Voter ID.

 

4.         Attested copy of partnership deed (on Rs.500/- stamp paper) / Memorandum and Atricles of Association.

 

5.         Copy of list of Directors downloaded from ROC website signed by Company Secretary / Managing Director (In case of company).

 

6.         In case of company an Affidavit under Section 34 of Drugs and Cosmetics Act, 1940 on Rs.20/- stamp paper duly notarized along with copy of its board resolution to this effect signed by company Secretary or Managing Director or Majority of the Directors of the company.

 

7.         Special declaration by Registered Pharmacist on Rs.20/- Non-Judicial stamp paper.

 

8.         Attested copy of Registered Pharmacist certificate (renewal up to date) affixed with latest original photograph and signature of the candidate / original to be produced to the Drugs Inspector at the time of inspection for endorsement.

 

9.         Original plan of the premises indicating the carpet area (specifying length and breadth in meters and area in Sq.m) by the Licensed Draftsman / Planner along with the signature of Building owner and the applicant (Prop/ partners / Authorized signatory / Managing Director, etc,.) in a legal size.

 

10.      Original declaration of building owner attested by Gazetted officer (Photograph of the building owner to be attested by the Gazetted officer).

 

11.      Attested photocopy of the document showing the proof of ownership of the building owner for the premises to be licensed (E.C / any other legal document showing the present ownership.

 

 

CHECK LIST FOR GRANT / CHANGE OF PREMISES OF WHOLESALE LICENCE

 

1.         Statutory form – 19 for licenses in form (20B,21B).

 

2.         S.B.H. Challan of Rs.1500/- for each license (for each form) for the required amount under the Head of Account 0210-Medical and Public Health, 04-Public Health, 104-Fees, Fines etc. / net banking.

 

3.         Declaration by the proprietor / Partner / Director / Competent Persons / Regd. Pharmacist with proof of residential address (Present and Permanent) for proof of residential address – Aadhar Card, Ration Card, Pass Port, Driving License, Voter ID.

 

4.         Attested copy of partnership deed (on Rs.500/- stamp paper) / Memorandum and Atricles of Association.

 

5.         Copy of list of Directors downloaded from ROC website signed by Company Secretary / Managing Director (In case of company).

 

6.         In case of company an Affidavit under Section 34 of Drugs and Cosmetics Act, 1940 on Rs.20/- stamp paper duly notarized along with copy of its board resolution to this effect signed by company Secretary or Managing Director or Majority of the Directors of the company.

 

7.         Special declaration by Registered Pharmacist on Rs.20/- Non-Judicial stamp paper (in case of Registered Pharmacist is appointed as C.P).

 

8.         Attested copy of Registered Pharmacist certificate (renewal up to date) affixed with latest original photograph and signature of the candidate (in case of Registered Pharmacist is appointed as C.P) / SSC / degree certificate (in case of candidate other than R.P).

 

9.         Original plan of the premises indicating the carpet area (specifying length and breadth in meters and area in Sq.m) by the Licensed Draftsman / Planner along with the signature of Building owner and the applicant (Prop/ partners / Authorized signatory / Managing Director, etc,.) in a legal size.

 

10.      Original declaration of building owner attested by Gazetted officer (Photograph of the building owner to be attested by the Gazetted officer).

 

11.      Attested photocopy of the document showing the proof of ownership of the building owner for the premises to be licensed (E.C / any other legal document showing the present ownership.

 

12.      Experience certificate of Competent person.

 

 

CHECK LIST FOR RENEWAL OF LICENSES (RETAIL / WHOLESALE)

 

1.         Statutory form – 19 (one for each license).

 

2.         S.B.H. Challan of Rs.1500/- for each license (for each form) for the required amount under the Head of Account 0210-Medical and Public Health, 04-Public Health, 104-Fees, Fines etc. / net banking.

 

3.         Declaration by the proprietor / Partner / Director / Competent Persons / Regd. Pharmacist

 

4.         Affidavit by R.P / C.P on Rs.20/- stamp paper duly notarized.

 

5.         Attested copy of Registered Pharmacist certificate (renewal up to date) affixed with latest original photograph and signature of the candidate.

 

6.         Original drug licence.

 

7.         Copy of list of Directors downloaded from ROC website signed by Company Secretary / Managing Director (In case of company).

 

8.         In case of company an Affidavit under Section 34 of Drugs and Cosmetics Act, 1940 on Rs.20/- stamp paper duly notarized along with copy of its board resolution to this effect signed by company Secretary or Managing Director or Majority of the Directors of the company.

 

 

CHECK LIST FOR CHANGE OF PHARMACIST

 

1.         Statutory form – 19 (one for each license).

 

2.         Declaration by the Registered Pharmacist with proof of residential address (Present and Permanent).

 

3.         Special declaration by Registered Pharmacist on Rs.20/- Non-Judicial stamp paper.

 

4.         Attested copy of Registered Pharmacist certificate (renewal up to date) affixed with latest original photograph and signature of the candidate, original certificate shall be produced before Drugs Inspector for endorsement.

 

5.         User charges of Rs.500/-.

 

6.         Original drug licence.

 

7.         Copy of list of Directors downloaded from ROC website signed by Company Secretary / Managing Director (In case of company).

 

8.         In case of company an Affidavit under Section 34 of Drugs and Cosmetics Act, 1940 on Rs.20/- stamp paper duly notarized along with copy of its board resolution to this effect signed by company Secretary or Managing Director or Majority of the Directors of the company.

 

CHECK LIST FOR CHANGE OF CONSTITUTION

 

1.         Statutory form – 19 (one for each license).

 

2.         S.B.H. Challan of Rs.1500/- for each license (for each form) for the required amount under the Head of Account 0210-Medical and Public Health, 04-Public Health, 104-Fees, Fines etc. / net banking.

 

3.         Declaration by the Partners with proof of residential address (Present and Permanent).

 

4.         Attested copy of Dissolution cum partnership deed (on Rs.500/- stamp paper).

 

5.         Special declaration by Registered Pharmacist on Rs.20/- Non-Judicial stamp paper, if being a part of the new constitution or otherwise.

 

6.         Attested copy of Registered Pharmacist certificate (renewal up to date) affixed with latest original photograph and signature of the candidate.

 

7.         Declaration of competent person if being the part of the new constitution or otherwise.

 

8.         Original plan of the premises indicating the carpet area (specifying length and breadth in meters and area in Sq.m) by the licensed draftman / planner along with the signature of Building owner and the applicant (Partners).

 

9.         Original declaration of building owner attested by Gazetted officer (Photograph of the building owner to be attested by the Gazetted officer).

 

10.      Attested photo copy of the document showing the proof of ownership of the building owner for the premises to be licensed (EC/any other legal document showing the present ownership of the building premises).

 

11.      Original drug license.

 

12.      Copy of list of Directors downloaded from ROC website signed by Company Secretary / Managing Director (In case of company).

 

13.      In case of company an Affidavit under Section 34 of Drugs and Cosmetics Act, 1940 on Rs.20/- stamp paper duly notarized along with copy of its board resolution to this effect signed by company Secretary or Managing Director or Majority of the Directors of the company.

 

 

CHECK LIST FOR GRANT OF HOUSE HOLD REMEDIES LICENCE

 

1.         Statutory form – 19A for licenses in form – 20A, 21A.

 

2.         S.B.H. Challan of Rs.1500/- for each license (for each form) for the required amount under the Head of Account 0210-Medical and Public Health, 04-Public Health, 104-Fees, Fines etc. / net banking.

 

3.         Declaration by the Proprietor / Partner / Director with proof of residential address (Present and Permanent).

 

4.         Attested copy of partnership deed (on Rs.500/- stamp paper), Memorandum and Articles of Association.

 

5.         Original plan of the premises indicating the carpet area (specifying length and breadth in meters and area in Sq.m) by the Licensed Draftsman / Planner along with the signature of Building owner and the applicant (Prop/ partners / Authorized signatory / Managing Director, etc,.) in a legal size.

 

6.         Declaration of the building owner.

 

7.         Copy of list of Directors downloaded from ROC website signed by Company Secretary / Managing Director (In case of company).

 

8.         In case of company an Affidavit under Section 34 of Drugs and Cosmetics Act, 1940 on Rs.20/- stamp paper duly notarized along with copy of its board resolution to this effect signed by company Secretary or Managing Director or Majority of the Directors of the company.

 

9.         Details of the names of the dealers and their license numbers from whom the applicant will purchase the drugs for sale.

 

10.      Attested photocopy of the document showing the proof of ownership of the building owner for the premises to be licensed (E.C / any other legal document showing the present ownership.

 

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APPLICATION FORM FOR GRANT OF NDPS - 1 LICENCE :

 

To, The Dy.Director, Drugs Control Administration, Through the proper channel Sub: Grant of N.D.P.S-I License. Sir, We _______________________ Already we have a Drug License (20B & 21B) bearing NOS. Form No: 20B: ____________________ Form No: 21B: ______________, Dated: ________, situated at _________________________________________. Now we request you to NDPS-I License (Grant) with the possessing capacity of the following N.D.P.S, Drugs. 1. 2. 3. For the above process we have paid the necessary challan in SBI, and we have required storage capacity as per the license rules. We are aware and abide with the provisions of N.D.P.S. Act and A.P.N.D.P.S. Rules. Hence we request you to grant the N.D.P.S.-1 at the earliest. Thanking You Sir, Enclosures Original challan, Affidavit, Xerox copy of 20B&21B license And Xerox copies of required documents APPLICATION FOR GRANT OF NDPS - 2 LICENCES 1. Name and full address of the firm: 2. Name and residential address of the proprietor / partner / directors of the firm. Copies of the partnership firm / memorandum of articles of Association to be enclosed where necessary: 3. Whether the application is for grant / renewal: 4. Chalan for Rs.50.00 0210 – Medical and Public Health 04 – Public Health 104 – Fees , Fines etc. 5. Original License: 6. Nature of the business carried out and the form NDPS license required: 7. Whether there are any changes in the constitution / status of the firm premises / technical staff and so, to give full details of the same: 8. Details of the quantities of the Narcotics Drugs allotted, received, manufactured and sold during the previous licensing period: 9. Balance of the stock position of the Narcotics drugs held in stock as on 31st December of the year ending: 10. Details of the drug license held: ( attested Xerox copies to be enclosed ) 11. Details of the transport permits issued and quantities lifted during the year: 12. Whether there are any violations of drug laws and any action taken against the firm by way of warnings / suspensions / cancellations / prosecutions and if so give full details of the same: 13. Declaration about the maintenance of accounts and records in the prescribed proforma, which is already communicated vide this office Lr.No.3671/112A/NDPS/86 dated 18-10-86: DECLARATION I hereby declare that the particulars given above are true and correct and I hereby undertake that I will follow all the provisions of the laws relating to Narcotics Drugs made by the central and state Governments and also all the conditions of the licenses issued to me as far as they are applicable to me. Failing which I fully understand that I am liable for action according to law. SIGNATURE